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Published on: September 11, 2021
Transabdominal preperitoneal repair for obturator hernia
Takahide Yokoyama1, Akira Kobayashi, Toshiki Kikuchi
1First Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi, Matsumoto, Nagano 390-8621, Japan.
World Journal of Surgery
|August 23, 2011
Summary
Laparoscopic transabdominal preperitoneal (TAPP) repair is effective for obturator hernia (OH), including occult and strangulated cases. This minimally invasive approach allows bilateral groin assessment and evaluation of incarcerated intestine viability.
Area of Science:
- Abdominal Surgery
- Minimally Invasive Surgery
- Hernia Repair
Background:
- Obturator hernia (OH) repair via laparoscopy is infrequently performed.
- Transabdominal preperitoneal (TAPP) repair is a laparoscopic technique for groin hernias.
Purpose of the Study:
- To evaluate the effectiveness of laparoscopic TAPP repair for obturator hernias.
- To assess TAPP's utility in managing both occult and acutely incarcerated OH.
Main Methods:
- Retrospective review of 659 TAPP hernia repairs from 2001 to May 2010.
- Focused analysis on eight patients diagnosed with obturator hernias.
Main Results:
- Three patients had occult OH; five had strangulated OH diagnosed preoperatively.
- Bilateral OH occurred in 63% and combined groin hernias (femoral) in 88%.
- No postoperative morbidity, mortality, or recurrence observed; one case required two-stage repair.
Conclusions:
- Laparoscopic TAPP is suitable for occult and incarcerated OH, enabling bilateral groin assessment and intestinal viability evaluation.
- The technique allows for minimally invasive treatment with minimal abdominal wall defects.
- Two-stage repair is a viable option for cases necessitating resection of incarcerated intestine.